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目的探讨重复剖宫产对妊娠结局的影响。方法选取2009年8月-2012年6月河南省郏县妇幼保健院收治的320例剖宫产孕妇的临床资料进行收集并分析,依据产妇剖宫产次数分为重复剖宫产组(180例)与初次剖宫产组(140例),对两组患者的基本资料、产后并发症、围产儿结局及喂养方式进行比较分析。结果两组产妇妊娠并发症、盆腔粘连发生率均具有统计学意义(P<0.01);两组胎儿6个月、12个月母乳喂养比较差异无统计学意义(P>0.05)。两组围产儿窒息率、死亡率差异无统计学意义(P>0.05)。结论重复剖宫产对围产儿结局影响不明显,剖宫产次数对妊娠并发症影响较大,严重影响产妇的健康。
Objective To investigate the effect of repeated cesarean section on pregnancy outcome. Methods The clinical data of 320 pregnant women with cesarean section admitted in Juxian Maternal and Child Health Hospital of Henan Province from August 2009 to June 2012 were collected and analyzed. According to the number of cesarean section, the patients were divided into repeated cesarean section (180 cases ) And primary cesarean section (140 cases). The basic data, postpartum complications, perinatal outcome and feeding mode were compared between the two groups. Results The incidences of pregnancy complications and pelvic adhesions in both groups were statistically significant (P <0.01). There was no significant difference in breastfeeding between the two groups at 6 months and 12 months (P> 0.05). The two groups of perinatal asphyxia, mortality difference was not statistically significant (P> 0.05). Conclusion Repeated cesarean section has no obvious effect on perinatal outcome. The number of cesarean section has a greater impact on pregnancy complications and seriously affects maternal health.